NPIMap

Organization Active NPI

Dimock Family Eyecare LLC

  • Optometrist
  • Dimock, PA
National Provider Identifier
1861818890
Registry record updated Mar 14, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
DIMOCK FAMILY EYECARE LLC
Practice address
7473 Route 29
Dimock, PA 18816
Phone
(570) 278-2882
NPI assigned
Mar 14, 2014
Last updated
Mar 14, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Karen FaillaceNPI 1427112069
Title
Owner
Phone
(570) 278-2882

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X NU Primary

Addresses

Primary practice location

7473 Route 29
Dimock, PA 18816

Mailing address

7473 Route 29
Dimock, PA 18816

National Provider Directory

National Provider Directory

Locations

7473 State Route 29
Dimock, PA 18816
Phone (570) 278-2882

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1394755200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1394755200000",
    "number": "1861818890",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7473 ROUTE 29",
            "city": "DIMOCK",
            "state": "PA",
            "postal_code": "18816"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7473 ROUTE 29",
            "city": "DIMOCK",
            "state": "PA",
            "postal_code": "18816",
            "telephone_number": "570-278-2882"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIMOCK FAMILY EYECARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-14",
        "last_updated": "2014-03-14",
        "status": "A",
        "authorized_official_last_name": "FAILLACE",
        "authorized_official_first_name": "KAREN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "570-278-2882"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dimock, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.